WESTERN NEPHROLOGY & METABOLIC BONE DISEASE, P.C. (NPI# 1417562943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417562943 |
| Entity Type | Organization |
| Organization Name | WESTERN NEPHROLOGY & METABOLIC BONE DISEASE, P.C. |
| Practice Address |
11700 W 2nd Pl Ste 345 Lakewood CO 80228-1710 |
| Mailing Address |
4891 Independence St Ste 120 Wheat Ridge CO 80033-6713 |
| Practice Telephone | 7206519500 |
| Practice Fax Number | 7207108130 |
| Mailing Telephone | 3034565495 |
| Mailing Fax Number | 3034567490 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | CARRIE MOONEY (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 3034565495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754852 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 2655 Crescent Dr Ste D, Lafayette, CO 80026-3373 | 2020-09-11 |
| 1336754860 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 1960 Ken Pratt Blvd Ste B, Longmont, CO 80501-6092 | 2020-09-11 |
| 1134734486 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 5265 Vance St Ste 200, Arvada, CO 80002-3714 | 2020-09-14 |
| 1316552847 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 8410 Decatur St Ste 100, Westminster, CO 80031-3811 | 2020-09-11 |
| 1619088176 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 5265 Vance Street, Suite 200, Arvada, CO 80002 | 2006-08-31 |
| Street Address |
11700 W 2ND PL STE 345 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1174663819 | Paul Dennis Miller | Internal Medicine | 6655 W Jewell Ave. Ste 2, Lakewood, CO 80232-7108 | 2007-02-08 |
| 1285694836 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 1627 Cole Blvd Bldg 18, Lakewood, CO 80401-3315 | 2006-03-27 |
| 1487040655 | Catholic Health Initiatives Colorado | Internal Medicine | 3190 S Wadsworth Blvd, Suite 250, Lakewood, CO 80227-4899 | 2015-04-14 |
| 1710326558 | Michael Alan Fischman | Internal Medicine | 3300 E South St Ste 308, Lakewood, CA 90805-4598 | 2013-06-14 |
| 1891039871 | Bikram Singh Sekhon | Internal Medicine | 3300 E South St Ste 308, Lakewood, CA 90805-4598 | 2012-11-15 |
| 1831266477 | Davita Nephrology Medical Associates of Pennsylvania, PC | Internal Medicine | 1627 Cole Blvd Bldg 18, Lakewood, CO 80401-3315 | 2006-11-29 |
| 1598861882 | Adarsh Daswani | Internal Medicine | 3300 E South St, Suite 110, Lakewood, CA 90805-4549 | 2006-09-15 |
| 1831120591 | Avedik Semerjian | Internal Medicine | 3300 E South St, 308, Lakewood, CA 90805-4549 | 2006-07-05 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.